MEDICARE: IMRAN H CHOWDHURY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D0042019	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0178052	OTHER	MD	GHI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	N1510001	OTHER	DC	BLUE CROSS FEDERAL
4	1013393	OTHER	MD	COVENTRY
5	5702	OTHER	MD	ELDER HEALTH
6	88624	OTHER	MD	AMERICAID
7	92-00121	OTHER	MD	EVERCARE
8	1114986	OTHER	MD	AETNA HMO
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	4564479	OTHER	MD	AETNA OTHER
11	P00288291	OTHER	MD	RAILROAD
12	1936481	OTHER	MD	UNITED HEALTHCARE
13	244618	OTHER	VA	BLUE CROSS OF TRIGON
14	459053	OTHER	MD	ALLIANCE
15	61077802	OTHER	MD	BLUE CROSS OF MARYLAND
16	770390	OTHER	MD	NATIONAL CAPITAL PPO
17	88624	OTHER	MD	AMERIGROUP
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	4410647001	OTHER	MD	CIGNA
21	459053	OTHER	MD	MAMSI
22	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23	187126	OTHER	VA	ANTHEM BLUE CROSS
24	494016	OTHER	MD	US HEALTHCARE
25	9200849	OTHER	MD	AMERICHOICE

General Provider Information

NPI Number	:	1396747549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMRAN H CHOWDHURY MD

Provider Business Mailing Address
First Line	:	9784 OLD ANNAPOLIS RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6327
Country	:	US
Telephone Number	:	410-997-1336
Fax Number	:	410-997-1636

Provider Business Practice Location Address
First Line	:	10802 HICKORY RIDGE RD
Second Line	:	STE 310
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3622
Country	:	US
Telephone Number	:	410-997-1336
Fax Number	:	410-997-1636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	06/20/2018

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